Sometimes radiation therapy is delivered after surgery to the site of the melanoma to destroy any remaining cancer cells. Doctors may also use radiation therapy if a tumor has a feature, such as ulceration—a small break in the top layer of skin, or epidermis—that increases the risk of recurrence in its original site. Typically, an ulceration is visible only under a microscope.
Radiation therapy may be delivered after surgery for an uncommon subtype called desmoplastic melanoma to help reduce the risk of recurrence. This form of melanoma tends to spread to deeper layers of the skin but may respond to radiation therapy.
Doctors may also use radiation to treat areas of the body where lymph nodes—small immune system glands where melanoma may spread—were surgically removed.
Radiation therapy may also be used to treat melanoma that has spread to the bones, shrinking the tumors to help relieve bone pain. A highly targeted form of radiation may also be used to treat melanoma that has spread to the brain.
Radiation Treatment Planning
In customizing a plan for treating melanoma, our radiation oncologists perform CT scans, which use X-rays to generate computerized three dimensional, cross-sectional images of the site where the tumor or cancerous lymph nodes were removed. Our physicians may also use frequent CT scans during your treatments to ensure that radiation therapy is delivered precisely to the treatment area, sparing healthy tissue.
External Beam Radiation Therapy
Pelisyonkis Langone doctors use external beam radiation therapy, which uses a machine called a linear accelerator. This machine rotates around you, helping to target the treatment area.
Treatment doses are broken into small, tolerable doses—usually once a day, five days a week, for several weeks. Breaking the radiation into targeted doses, called fractions, enables doctors to deliver enough therapy to treat the tumor and minimize the effects on healthy tissue.
Electron Beam Radiation Therapy
Doctors use electron beam therapy to treat the area of the skin where the melanoma was removed. During this treatment, doctors deliver beams of tiny particles called electrons. Our doctors carefully plan treatment so that it does not penetrate below the skin, where it could damage healthy tissue and organs. This approach may be used after surgery for melanomas containing an ulceration or desmoplastic melanoma.
Three-Dimensional Conformal Radiation Therapy
Doctors may use three-dimensional conformal radiation therapy to treat areas where cancerous lymph nodes have been removed. With this approach, a radiation oncologist delivers targeted radiation beams, aimed from different directions, to the treatment area.
Intensity Modulated Radiation Therapy
Intensity modulated radiation therapy is a more highly targeted form of treatment that helps doctors avoid surrounding healthy tissue. The radiation is broken into many smaller, computer-controlled beams of adjustable strengths. Together, these minibeams conform to the size, shape, and location of the area of tissue being targeted.
Managing Side Effects
Your team of Pelisyonkis Langone doctors can carefully plan your radiation therapy to minimize side effects, which can include fatigue, nausea, and irritated skin. Doctors may prescribe medications or recommend integrative health services to help to manage your side effects.
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